ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2022
Anxiety problems in children and adolescents: a population-based cohort study on incidence and management in Dutch primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- An online randomised controlled trial to evaluate the effectiveness of an online intervention for parents/guardians of children aged 4-7 years old who are concerned about their children's emotional and behavioural development: EMERGENT study.Frontiers in psychology · 2026Trial
- Caring for young minds: general practitioners' self-assessed competence in child and adolescent psychiatry.Scandinavian journal of primary health care · 2026Article
- Integrating youth mental health practice nurses into general practice: effects on outpatient mental health care utilization among children and adolescents.European child & adolescent psychiatry · 2025Article
- Distribution characteristics of mental disorders in community health service center: based on outpatient data from 2014-2022 in Shanghai, China.BMC psychiatry · 2025Article
- Children and young people's consultation rates for psychosocial problems between 2016 and 2021 in the Netherlands.The European journal of general practice · 2024Article
- Evaluation of practice nurses' management of paediatric psychosocial problems in general practice.Journal of public health (Oxford, England) · 2024Article
- Associations between sleep problems and emotional/behavioural difficulties in healthy children and adolescents.BMC pediatrics · 2024Article
- Depressive and anxiety symptoms in adolescents with type 1 diabetes - a single-centre observational study.Pediatric endocrinology, diabetes, and metabolism · 2023Observational
- GPs' and practice nurses' views on their management of paediatric anxiety problems: an interview study.BMC primary care · 2022Article
Corrections and comments
- Erratum issuedCorrections.2024
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to a large strain on youth mental health care, general practice is suggested as an alternative treatment setting for children and adolescents with anxiety problems. However, research on the current management of these children and adolescents within general practice is scarce.
aimTo investigate the incidence of coded anxiety in general practice using the International Classification of Primary Care (ICPC), and GPs' management of children and adolescents presenting with anxiety problems. DESIGN AND
settingPopulation-based cohort study using electronic medical records of 51 212 children (aged 0-17 years) in primary care in the Rotterdam region between 1 January 2012 and 31 December 2018.
methodIncidence of ICPC codes for anxiety were calculated, then the characteristics of children and adolescents consulting their GP with anxiety and the GPs' management were assessed qualitatively using quantitative content analysis.
resultsIncidence of ICPC codes for anxiety in children and adolescents was 5.36 (95% confidence interval [CI] = 5.02 to 5.71) per 1000 person-years. Adolescent females had the highest incidence with 14.01 (95% CI = 12.55 to 15.58) per 1000 person-years. Of the 381 children and adolescents consulting their GP with an initial anxiety problem (median age 13.3 years, 40.4% male), GPs referred 59.3% to mental health care in the first year while 26.5% of children and adolescents were managed by a specialised practice nurse within general practice. Of the 381 children and adolescents, 10.5% received psychiatric medication during the first year, with the trend being for increased prescriptions during adolescence.
conclusionIn general practice children and adolescents frequently received one of two ICPC codes for anxiety, especially adolescent females. Most presenting to their GP with anxiety problems are referred externally or seen by a specialised practice nurse within general practice.
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